| Title | Acute and delayed bleeding requiring embolization after image-guided liver biopsy in patients with cancer |
| Authors | Sag, Alan A. Brody, Lynn A. Maybody, Majid Erinjeri, Joseph P. Wang, Xiaodong Wimmer, Thomas Silk, Mikhail Petre, Elena N. Solomon, Stephen B. |
| Affiliation | Mem Sloan Kettering Canc Ctr, Dept Radiol, Intervent Radiol Serv, New York, NY 10065 USA. Koc Univ, Sch Med, Div Intervent Radiol, Dept Radiol, Rumelifeneri Yolu, TR-34450 Istanbul, Turkey. Peking Univ, Canc Hosp & Inst, Dept Iritervent Radiol, Beijing 100871, Peoples R China. Minist Educ, Key Lab Carcinogenesis & Translat Res, Beijing 100871, Peoples R China. Med Univ Graz, Dept Radiol, Graz, Austria. Koc Univ, Sch Med, Rumelifeneri Yolu, TR-34450 Istanbul, Turkey. |
| Keywords | Image-guided biopsy Hemorrhage Embolization, Therapeutic Radiology, Interventional CENTER EXPERIENCE COMPLICATIONS SONOGRAPHY LESIONS TRIALS |
| Issue Date | 2016 |
| Publisher | CLINICAL IMAGING |
| Citation | CLINICAL IMAGING.2016,40,(3),535-540. |
| Abstract | Purpose: To report incidence of acute versus delayed presentations of bleeding requiring embolization after focal liver biopsy, in correlation with angiographic findings and treatment success rates. The available literature will be reviewed as well. Materials and methods: Health Insurance Portability and Accountability Act-compliant institutional review board approved retrospective review of 2180 consecutive patients undergoing 2335 targeted liver biopsies at a tertiary-care cancer center. Hepatic arterial embolization episodes within 30 days from biopsy were identified via radiology PACS. Electronic medical record review was performed for indication of embolization and postembolization clinical course. Results: The incidence of postbiopsy bleeding requiring embolization was 05% (12/2335 biopsies). In those with bleeding, 1/12 (8%) had no hepatic arterial findings at angiography. Angiographic hepatic arterial findings resolved after embolization in 11/11 patients (100% technical success). Bleeding ceased after embolization in 10/12 patients (83% clinical success). Complications were seen in 2/12 (17%) patients: cholecystitis and hepatic infarct, respectively. Delayed presentation of bleeding (defined as >24 h postbiopsy) occurred in 5/12 (42%) patients; the longest latency was 12 days. Conclusion: The overall incidence of bleeding requiring embolization in our population was 0.5%. This complication rate compares favorably to the 0-4.2% (median: 0.29%) rate quoted in the available, heterogeneous, literature on this topic. Delayed presentation occurred in almost half of patients. Arterial embolization carries excellent technical and clinical success rates. (C) 2016 Elsevier Inc. All rights reserved. |
| URI | http://hdl.handle.net/20.500.11897/433888 |
| ISSN | 0899-7071 |
| DOI | 10.1016/j.clinimag.2015.11.004 |
| Indexed | SCI(E) EI PubMed |
| Appears in Collections: | 北京肿瘤医院 |
